AHA Coding Clinic® for ICD-9 - 2008 Issue 3; Ask the Editor

Coding Based on Medication

Upon review of the patient’s past medical history, we noted that the patient occasionally uses a medication. No diagnosis or condition is documented related to this medication and the patient does not receive this medication during the hospital stay. Is it appropriate to query the physician to determine the diagnosis for which the medication has been prescribed? For example, the patient is on Viagra, can we query the physician for autonomic neuropathy? ...

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